Individual
CARLA L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2911 ESSARY DR STE 200, KNOXVILLE, TN 37918-2469
(865) 371-8101
Mailing address
2911 ESSARY DR STE 200, KNOXVILLE, TN 37918-2469
(865) 371-8101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904015665
VA
1041C0700X
Clinical Social Worker
Primary
6776
TN
Other
Enumeration date
12/12/2019
Last updated
03/24/2025
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